Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NOVANT HEALTH MEDICAL GROUP, LLC

NPI: 1891014197 · JAMESTOWN, NC 27282 · Family Medicine Physician · NPI assigned 05/26/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more

$913K
Total Medicaid Paid
62,540
Total Claims
58,978
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWALTON, LEEA (RCS MANAGER)
NPI Enumeration Date05/26/2010

Related Entities

Other providers sharing the same authorized official: WALTON, LEEA

ProviderCityStateTotal Paid
NOVANT HEALTH MEDICAL GROUP, LLC MONROE NC $8.57M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $5.75M
NOVANT HEALTH MEDICAL GROUP, LLC MATTHEWS NC $4.57M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $3.45M
FORSYTH MEMORIAL HOSPITAL, INC MOUNT AIRY NC $3.23M
NOVANT HEALTH MEDICAL GROUP, LLC SHALLOTTE NC $3.02M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.83M
FORSYTH MEMORIAL HOSPITAL INC KING NC $2.46M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.35M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.30M
FORSYTH MEMORIAL HOSPITAL INC YADKINVILLE NC $2.23M
NOVANT HEALTH MEDICAL GROUP, LLC SALISBURY NC $2.10M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.07M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $2.02M
NOVANT HEALTH MEDICAL GROUP, LLC CORNELIUS NC $1.95M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.87M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.82M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.66M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.33M
NOVANT HEALTH MEDICAL GROUP, LLC CHARLOTTE NC $1.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,220 $82K
2019 1,881 $99K
2020 1,300 $85K
2021 6,951 $194K
2022 16,299 $243K
2023 16,568 $162K
2024 17,321 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,838 5,535 $517K
99199 Unlisted special service, procedure or report 48,285 47,718 $162K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,425 1,847 $139K
90460 Immunization administration through 18 years of age via any route, first or only component 1,314 972 $63K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 467 317 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 267 254 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 242 114 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 42 24 $3K
90472 Immunization administration, each additional vaccine (list separately) 57 55 $2K
90686 467 419 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 139 116 $1K
36415 Collection of venous blood by venipuncture 574 450 $1K
90674 207 162 $1K
90461 269 171 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $701.28
99173 114 99 $18.14
92552 37 37 $6.00
90670 64 41 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 103 96 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 147 142 $0.00
G8484 Influenza immunization was not administered, reason not given 29 28 $0.00
G8732 No documentation of pain assessment, reason not given 95 92 $0.00
99000 239 175 $0.00
1036F 82 77 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00